Gambling and problem gambling among clients, and staff attitudes, in an alcohol and drug problems treatment service in the English Midlands

A self-completion questionnaire containing items about recent gambling and problem gambling used in the British Gambling Prevalence Survey (BGPS) was completed by 274 clients of alcohol and drug problems services in the English West Midlands. Compared to BGPS data, matched to the client sample for age and sex, clients were significantly more likely in the previous 12 months to have engaged in forms of gambling carrying a high risk of problems, to have engaged in four or more separate forms of gambling, and to have scores on a brief form of the South Oaks Gambling Screen (SOGS) indicating problem gambling. A self-completion scale on attitudes towards working with problem gamblers, with good psychometric properties according to present data, was completed by 91 members of staff of the same services. With the exception of a sub-scale measuring perceived adequacy of knowledge and skills for working with problem gamblers, staff expressed moderately positive attitudes. It is concluded that British substance misuse services are appropriate locations for the development of services for problem gambling.